Jasen Creek, PD

NPI #1477958155 in Prescott, Arkansas

Provider Information

NPI Number: 1477958155
Entity Type: Individual
Name: Jasen Creek, PD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PD
Enumeration Date: Oct 24, 2014
Last Updated: Oct 24, 2014

Practice Location

Address: 1430 W 1ST ST N
City: Prescott
State: Arkansas
ZIP Code: 71857-3339
Phone: (870) 887-6664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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